患儿,女性,11月,主因腹胀3天入院。患儿于3天前无诱因出现腹部膨隆,伴发热。体温最高达39C,烦躁不安,哭闹,大便白色奶瓣状,食欲正常,小便亦正常。入院查体:体温38.7C,脉搏121次/分,呼吸29次/分,体重8公斤,痛苦面容,皮肤粘膜无黄染,腹部膨隆,无肠型,触诊柔韧,可诱发患儿哭闹,移动性浊音阳性,肠鸣音无,麦氏点腹腔穿刺顺利抽出淡绿色透明液2毫升。实验室检查:血红蛋白121g/L,白细胞13.8×10~9/L,中性粒细胞0.57,淋 Children, women, in November, the main due to bloating 3 days admitted. Children with bulging abdomen without fever, fever 3 days ago. Body temperature up to 39C, irritability, crying, stool white milk petals, normal appetite, urine is also normal. Admission examination: body temperature 38.7C, pulse 121 beats / min, breathing 29 beats / min, weight 8 kg, painful face, skin and mucous membrane without yellow dye, abdomen bulging, no intestinal type, palpation pliable, can induce children crying , Mobility dullness positive, no bowel sounds, Maxwell’s abdominal puncture smooth out 2ml of light green transparent liquid. Laboratory tests: hemoglobin 121g / L, leukocytes 13.8 × 10 ~ 9 / L, neutrophils 0.57, leaching